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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ETHICON INC. TENSION FREE VAGINAL TAPE - OBTURATOR UNKNOWN PROD; MESH, SURGICAL, SYNTHETIC, UROGYNECOLOGIC

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ETHICON INC. TENSION FREE VAGINAL TAPE - OBTURATOR UNKNOWN PROD; MESH, SURGICAL, SYNTHETIC, UROGYNECOLOGIC Back to Search Results
Lot Number 3936368
Device Problem Adverse Event Without Identified Device or Use Problem (2993)
Patient Problems Bacterial Infection (1735); Incontinence (1928); Pain (1994); Cramp(s) /Muscle Spasm(s) (4521)
Event Date 03/01/2021
Event Type  Injury  
Manufacturer Narrative
(b)(4).This report is being submitted pursuant to the provisions of 21 cfr, part 803.This report may be based on information which has not been investigated or verified prior to the required reporting date.This report does not reflect a conclusion by ethicon inc, or its employees that the report constitutes an admission that the product, ethicon inc, or its employees caused or contributed to the potential event described in this report.If information is obtained that was not available for the initial report, a follow-up report will be filed as appropriate.To date it has been reported that the device will not be returned.If the device or further details are received at a later date a supplemental medwatch will be sent.Component code: g07002 ¿ device not returned.Related events captured via 2210968-2024-01820, 2210968-2024-01821.
 
Event Description
It was reported that a patient underwent a sling procedure on (b)(6) 2021 and mesh was implanted.The patient reported that in the wake-up room, they couldn't feel the left leg anymore.In the days following the operation, the patient felt pain inside the thighs above the adductors and still had urine leakage.The patient understood that it was pain in the obturator muscles and pain in the stomach.When putting on cream for post-operative healing, the patient felt something rough in the back of the vagina.The strip punctured the vagina.The patient had surgery and the surgeon cut the end of the strip.The pains did not go away, nor discomfort during sex.The piece of strip was analyzed and contaminated with a bacterium "streptococcus anginous multi-sensitive".From this operation, the patient had trouble taking long walks.Some days, the patient limped and stabbed in the stomach.The patient felt the strip all the time in the lower abdomen.The patient reported currently experiencing obturator muscle pain, leg pain with feeling of cramps, stomach pain, pain during sexual intercourse, urinary leakage always present and bacteria present many weeks despite treatment.Then the strip was removed by another surgeon on (b)(6) 2023.The operation was difficult but the strip was removed.The stomach pain has disappeared.The patient still has pain in the obturator muscles especially the right, and electric blows and cramps in the legs especially the right.The patient has done tests and it's not circulatory pain.Some movements hurt and intensive walking also triggers pain in the right shutter.No further information is available as the reporter contact details were not disclosed.
 
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Brand Name
TENSION FREE VAGINAL TAPE - OBTURATOR UNKNOWN PROD
Type of Device
MESH, SURGICAL, SYNTHETIC, UROGYNECOLOGIC
Manufacturer (Section D)
ETHICON INC.
1000 route 202
raritan NJ 08869
Manufacturer (Section G)
ETHICON SARL-NEUCHATEL
puits-godet 20
neuchatel 2000
SZ   2000
Manufacturer Contact
elba bello
1000 route 202
raritan, NJ 08869
9083863534
MDR Report Key18769531
MDR Text Key336128717
Report Number2210968-2024-01822
Device Sequence Number1
Product Code OTN
Combination Product (y/n)N
Reporter Country CodeFR
PMA/PMN Number
K033568
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type Other,Foreign,Consumer
Reporter Occupation Other
Type of Report Initial
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received02/23/2024
Is this an Adverse Event Report? Yes
Is this a Product Problem Report? No
Device Operator Health Professional
Device Lot Number3936368
Was Device Available for Evaluation? No
Date Manufacturer Received02/07/2024
Was Device Evaluated by Manufacturer? Device Not Returned to Manufacturer
Is the Device Single Use? Yes
Is This a Reprocessed and Reused Single-Use Device? No
Type of Device Usage Initial
Removal/Correction NumberN/A
Patient Sequence Number1
Patient Outcome(s) Required Intervention;
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